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目的比较胰岛素泵和传统皮下强化注射胰岛素治疗2型糖尿病的成本效果。方法将115例2型糖尿病住院患者分成2组,一组住院过程中使用胰岛素泵治疗(A组)58例,另一组强化皮下注射胰岛素(B组)57例,1周后观察2组的降糖效果。采用成本-效果分析法对2组患者进行分析,效果指标选择血糖降低有效率。结果 A组的成本为616.6元,有效率为96.6%;B组的成本为512.2元,有效率为91.2%,A组的成本效果比(C/E)为6.38,B组的C/E为5.62。A组与B组相比,每增加一单位有效率,需要增加成本1 933.33元。结论强化皮下注射胰岛素治疗2型糖尿病具有较好的绝对经济效率,但与胰岛素泵治疗相比,后者具有较好的增量成本效果比。
Objective To compare the cost effectiveness of insulin pump and traditional subcutaneous injection of insulin in the treatment of type 2 diabetes. Methods A total of 115 inpatients with type 2 diabetes mellitus were divided into two groups. One group was treated with insulin pump in group A (58 cases), the other group (57 cases) with subcutaneous injection of insulin (group B). One week later, Hypoglycemic effect. Cost-effectiveness analysis was used to analyze the two groups of patients, the effect of indicators of choice to reduce blood glucose efficiency. Results The cost of group A was 616.6 yuan, the effective rate was 96.6%. The cost of group B was 512.2 yuan, the effective rate was 91.2%. The cost-effectiveness ratio (C / E) of group A was 6.38. The C / E of group B was 5.62. Group A compared with group B, for each additional unit of efficiency, need to increase the cost of 1 933.33 yuan. CONCLUSIONS: The intensive subcutaneous injection of insulin has good absolute economic efficiency in the treatment of type 2 diabetes mellitus, but the latter has a better cost-effectiveness ratio than the insulin pump treatment.